| NPI | 1831271154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEE BUTCHER Owner 479-629-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG00587) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |